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Related Experiment Videos

[Rare, bilateral posterior shoulder dislocation. A case report].

R Becker1, F Weyand

  • 1Unfallchirurgische Abteilung, Städtischen Krankenanstalten Idar-Oberstein.

Der Unfallchirurg
|February 1, 1990
PubMed
Summary
This summary is machine-generated.

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Posterior shoulder dislocation is a rare injury often missed on X-rays. Early exercise programs can lead to excellent outcomes for this condition, even in complex bilateral cases.

Area of Science:

  • Orthopedics
  • Traumatology

Background:

  • Posterior shoulder dislocation is a rare injury, comprising 1-2% of all shoulder dislocations.
  • Often misdiagnosed due to non-specific symptoms and misinterpreted X-rays, leading to delayed treatment and functional impairment.

Observation:

  • The most common cause is epileptic seizure.
  • A ventral impression fracture of the humeral head (reverse Hill-Sachs lesion) occurs in about 50% of cases.
  • Fracture of the lesser tuberosity of the humerus is associated with approximately 10% of posterior shoulder dislocations.

Findings:

  • This paper describes a rare case of bilateral posterior shoulder dislocation with bilateral lesser tuberosity fractures.
  • The dislocations were caused by an epileptic seizure secondary to chronic alcohol abuse.

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Implications:

  • Early diagnosis and prompt treatment, including an exercise program, are crucial for favorable outcomes.
  • This case highlights the importance of considering posterior shoulder dislocation in patients with seizures, especially with associated fractures.